Individual provider Active NPI

Ridwan Carim-Sanni, OD

  • Optometrist
  • Columbia, SC
National Provider Identifier
1689312092
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3334 Issued in OK
Practice address
4500 8TH Division Rd
Columbia, SC 29207-5700
Phone
(803) 751-2160
NPI assigned
May 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 030.0133965 VT
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3334 OK Primary

Addresses

Primary practice location

4500 8TH Division Rd
Columbia, SC 29207-5700

Mailing address

1001 N Grand Ave
Tahlequah, OK 74464-7017
Phone (918) 444-4000

Other practice location 1

1001 N Grand Ave
Tahlequah, OK 74464-7017
Phone (918) 444-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220615002083 VT Practitioner - Optometry 4284013624 Reassigns benefits to 1 organization
I20250604001308 SC Practitioner - Optometry 4284013624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Eye Care LLCGroup PAC ID 5193992972, 22 clinicians

Practice addresses (Care Compare)

3131 Newberry Hwy
Saluda, SC 29138-0198
Phone (888) 840-3032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030.0133965VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Vermont LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince Jun 25, 2022 Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince Jun 25, 2022 Accepting new patients
Aria Eye Care, LLC Optometrist CurrentSince May 12, 2025 Accepting new patients

Locations

10826 Old Mill Rd
Ste 101
Omaha, NE 68154

3131 Newberry Hwy
Saluda, SC 29138
Phone (800) 898-3232

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

30 Main St
Ste 120
Burlington, VT 05401
Phone (802) 658-7610

10 Palmer Rd
Ste 100
Stowe, VT 05672
Phone (802) 253-6322

10 Palmer Rd
Stowe, VT 05672
Phone (802) 253-6322

5399 Williston Rd
Ste 102
Williston, VT 05495
Phone (802) 864-5428

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1689312092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N GRAND AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744647017",
            "telephone_number": "918-444-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 8TH DIVISION RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292075700",
            "telephone_number": "803-751-2160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744647017",
            "country_code": "US",
            "telephone_number": "918-444-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARIM-SANNI",
        "first_name": "RIDWAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133965",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.